| NPI | 1124465695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD470612) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT203764) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2022-09-28 |