| NPI | 1720648983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA pa58965) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: CA pa58965) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2022-02-22 |