| NPI | 1487747747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 16679) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: AZ 16679) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2021-03-03 |