| NPI | 1215135496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA C133870) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD432218) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-07-22 |