| NPI | 1306181375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A154251) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125057681) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2021-11-03 |