| NPI | 1558627893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA A172653) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: MN 65645) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2024-04-22 |