| NPI | 1316232010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A175295) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT200369) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2021-12-14 |