| NPI | 1710484423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2025-03314) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-10-07 |