| NPI | 1164919213 |
|---|---|
| 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: IA MD-51573) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2023-06-13 |