| NPI | 1346583770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA a136751) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA a136751) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2020-08-17 |