| NPI | 1396866307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NM MD2015-0063) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2086S0129X Surgery, Vascular Surgery (Licence: OR MD165258) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-08-07 |