| NPI | 1861652349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: RI MD15099) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2088P0231X Urology, Pediatric Urology (Licence: RI MD15099) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2016-05-19 |