| NPI | 1295969947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME129104) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MD D0089278) |
| 2086S0129X Surgery, Vascular Surgery (Licence: OH 35.099103) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101269130) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA A131396) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2020-09-06 |