| NPI | 1205802501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 39035) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: MA 39035) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |