| NPI | 1417044462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OR MD24570) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 73803) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-09-08 |