| NPI | 1386862464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NV 14277) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: NV 14277) |
| 2086S0129X Surgery Vascular Surgery (Licence: NV 14277) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-01-15 |