| NPI | 1871939132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: TN 57491) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301102478) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2022-03-18 |