| NPI | 1205215241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX S7339) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX BP10054073) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2020-08-21 |