| NPI | 1366884918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 334462-01) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: ME MD24985) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2025-01-15 |