| NPI | 1417028887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WV 20351) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 20351) |
| 208D00000X General Practice (Licence: WV 20351) | |
| 174400000X Specialist (Licence: WV 20351) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2018-03-17 |