| NPI | 1205090339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IA DO-05195) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 65627) |
| 208600000X Surgery (Licence: IA DO-05195) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: GA 65627) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2018-08-01 |