| NPI | 1295769727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WA MD00036183) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00036183) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-02-25 |