| NPI | 1215016811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301072292) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: MI 4301072292) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2021-06-24 |