| NPI | 1164595310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2015-00576) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 230433) |
| 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301095536) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: NC 2015-00576) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: FL ME120203) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-01-08 |