| NPI | 1578900320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CT 1066525) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125063165) |
| 2086S0129X Surgery, Vascular Surgery (Licence: UT 10836392-1205) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2024-01-21 |