| NPI | 1962068486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA12448300) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208800000X Urology (Licence: IL 036.160741) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2025-05-02 |