| NPI | 1306231279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA12398900) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 277207) |
| 282N00000X General Acute Care Hospital (Licence: DC 1306231279) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-09-23 |