| NPI | 1275983801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IA MD-48791) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA R-10630) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2021-09-16 |