| NPI | 1811280282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301115183) |
| Additional Taxonomies | 208800000X Urology (Licence: MD D0081519) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2023-03-13 |