| NPI | 1255437240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD442906) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 39560) |
| 2086S0129X Surgery, Vascular Surgery (Licence: KY 39560) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2022-11-17 |