| NPI | 1255635389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: SC 4772) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 4772) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2020-12-10 |