| NPI | 1417396227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX U6228) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301103542) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2023-09-18 |