| NPI | 1003137506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: WA OP60756925) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA OP60756925) |
| 2086S0129X Surgery Vascular Surgery (Licence: TN 2893) | |
| 208600000X Surgery (Licence: KS 7459) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2022-04-18 |