| NPI | 1245461292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 5101018212) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101018212) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2020-12-09 |