| NPI | 1295704252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD421313) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD421313) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-03-01 |