| NPI | 1013157122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX N4576) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10025572) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2022-01-27 |