| NPI | 1124172622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL Me70243) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NV 11662) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-07-09 |