NPI | 1720630775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 3015464) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP05360) |
208800000X Urology (Licence: NE 8457) | |
Enumeration Date | 2019-07-10 |
Last Update Date | 2024-06-12 |