| NPI | 1417049156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA A068154) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A681540) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-08-10 |