| NPI | 1144616095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: TN 4814) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: TN 20A18364) |
| 2086S0129X Surgery Vascular Surgery (Licence: FL OS19890) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2023-11-01 |