| NPI | 1598095929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: KY 04487) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: GA 076643) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2019-03-22 |