| NPI | 1306112545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A130123) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A130123) |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA A130123) | |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2022-10-26 |