| NPI | 1376746354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IA 37401) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R6886) |
| 208600000X Surgery (Licence: IA 37401) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2012-11-13 |