| NPI | 1316058274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: TX L9764) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX L9764) |
| 2086S0102X Surgery Surgical Critical Care (Licence: TX L9764) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-12-05 |