| NPI | 1831484476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0083123) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 247738) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2020-06-12 |