| NPI | 1003326901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MA059377) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059377) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2022-05-05 |