| NPI | 1790003093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: PA MD461014) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: KY 4155) |
| 208600000X Surgery (Licence: KY 4155) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2021-05-06 |