| NPI | 1144677055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: SC 90655) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10057603) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2023-08-17 |