| NPI | 1972056042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208800000X Urology (Licence: ZZ 95837) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |