| NPI | 1689051674 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TN 75327)  | 
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4301502888)  | 
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35.145364)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-29 | 
| Last Update Date | 2025-09-29 |