| NPI | 1801067954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: UT 9343880-1205) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301100052) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 227962) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2021-11-18 |