| NPI | 1285880708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA 20A13612) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101017775) |
| 2086S0129X Surgery Vascular Surgery (Licence: OR DO221605) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2024-10-09 |