| NPI | 1114369741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME142033) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT205068) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2021-12-06 |