| NPI | 1558922625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX S7832) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX 20069431) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2023-11-17 |