| NPI | 1144452186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C162154) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: NY 275512) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2020-12-15 |