| NPI | 1548789407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202K00000X Phlebology (Licence: CA H8N7F6J6) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: CA W9D2A7M8) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |