| NPI | 1023010659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 37441) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01057482A) |
| 202K00000X Phlebology (Licence: IN 01057482A) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2008-04-01 |