| NPI | 1972000776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 322979) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 0007052) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-02-02 |