| NPI | 1922495738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: TX U3781) |
| Additional Taxonomies | 208800000X Urology (Licence: MA 283724) |
| 208800000X Urology (Licence: TX U3781) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-02-01 |