| NPI | 1447287735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME100087) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD054213L) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-01-21 |