| NPI | 1578799078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO DR.0073674) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 278301) |
| 2086S0129X Surgery, Vascular Surgery (Licence: NC 201800176) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2024-08-27 |