| NPI | 1427291368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 53416) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R9924) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2019-03-18 |