NPI | 1912404567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CO DR.0071860) |
Additional Taxonomies | 208800000X Urology (Licence: VA 0101267939) |
208D00000X General Practice (Licence: VA 0101267939) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2024-01-02 |