| NPI | 1609208610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: ID M-15068) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.063695) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2020-07-30 |