| NPI | 1235358086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: PA MD476186) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: NY 27165) |
| 208600000X Surgery (Licence: RI LP00950) | |
| 2086S0129X Surgery Vascular Surgery (Licence: NY 27165) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 27165) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-01-06 |