| NPI | 1053636894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2016-00599) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2016-00599) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2021-11-09 |