| NPI | 1205802808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35061624) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35061624) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35061624) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2018-03-23 |