| NPI | 1760612170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WI 55627) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: UT 94398601205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2024-12-10 |