| NPI | 1336189786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NJ MA72668) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: NY 195134) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2017-09-28 |