| NPI | 1528487469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX T2005) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX T2005) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2023-10-07 |