| NPI | 1447457247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: KY 46429) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: TN 766277) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-10-26 |