| NPI | 1043889454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 125.079014) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-04-11 |