| 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 |