| NPI | 1053624080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD461094) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 64171) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2022-07-21 |