| NPI | 1518243328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 0010-03194) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03194) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2023-12-28 |