| NPI | 1831502145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CO DR.0071335) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105518) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2023-08-09 |