| NPI | 1073048914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA A203288) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A203288) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2025-08-19 |