| NPI | 1972745180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA 149802) |
| Additional Taxonomies | 208800000X Urology (Licence: MT 41831) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2021-12-01 |