| NPI | 1205043593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202K00000X Phlebology (Licence: FL C6E2X4M8) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 31298) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-01-15 |