| NPI | 1043439268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 60 251976) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MD d73428) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-08-22 |