| NPI | 1215227004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35.122523) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.122523) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2020-11-20 |