| NPI | 1396804878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A99996) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX M2642) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-03-11 |