| NPI | 1598184715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A139459) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CA A139459) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-04-29 |