| NPI | 1326029513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD431585) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD431585) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2019-10-22 |