| NPI | 1225331184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD436813) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA FY1470739) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2022-02-25 |