| NPI | 1992964183 |
|---|---|
| Former Name | LARA K SUH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 259192) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208800000X Urology (Licence: SC 35538) | |
| 208800000X Urology (Licence: NH 16595) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2014-07-17 |