| NPI | 1235215286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: TX P6285) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 242545) |
| 2086S0129X Surgery Vascular Surgery (Licence: NY 242545) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2021-01-11 |