| NPI | 1578828612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME156209) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036148962) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2023-01-25 |