| NPI | 1417342015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 61308) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208600000X Surgery (Licence: IL 125066666) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-09-18 |