| NPI | 1952755092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: GA 88486) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116029025) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2021-09-13 |