| NPI | 1164420261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WA MD00042745) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD00042745) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2016-12-08 |