| NPI | 1548286958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MN 74394) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 74561) |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA G68230) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-04-25 |