| NPI | 1376791681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 294247) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT193106) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2018-07-13 |