| NPI | 1316185705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NH 16924) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 233783) |
| 208600000X Surgery (Licence: NH 16924) | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2015-01-23 |