| NPI | 1043444565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX N9582) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MT194899) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194899) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2011-07-16 |