| NPI | 1033191671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 79594) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MA 79594) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2009-06-25 |