| NPI | 1578859575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WA MD60661699) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 125.059817) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2016-08-12 |