| NPI | 1881072189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN 64295) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 29440) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2022-06-16 |