| NPI | 1841671526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 291565) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301504233) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 263573) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2022-06-30 |