| NPI | 1124260534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 41320) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 41320) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2010-02-10 |