| NPI | 1982132684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA10997100) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 390200000X) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2025-08-09 |