| NPI | 1164740221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX S0280) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101283876) |
| 2086S0129X Surgery, Vascular Surgery (Licence: PA MD482465) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2024-10-15 |