| NPI | 1114459757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2023-01929) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2023-01929) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2024-08-01 |