| NPI | 1821330093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA11984500) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: LA 308055) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-11-21 |