| NPI | 1306157078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: OH 35.140245) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME129595) |
| 208600000X Surgery (Licence: AZ R72234) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2020-10-26 |