| NPI | 1700380029 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208800000X Urology (Licence: HI md-23449) | 
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.072114) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-21 | 
| Last Update Date | 2024-02-07 |