| NPI | 1043553803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 93762) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 68977-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2022-11-15 |