| NPI | 1528745320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: ZZ 112664) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MA 1020791) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-10-30 |