| NPI | 1336379478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME127513) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 52974) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2021-06-03 |