| NPI | 1497169957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME150676) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT207458) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2021-08-03 |