| NPI | 1154749703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MA 268764) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: CA A172539) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-06-09 |