| NPI | 1417244252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125.060501) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX Q7694) |
| 2086S0129X Surgery, Vascular Surgery (Licence: WA MD60849390) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-11-14 |