| NPI | 1609870328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C41523) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: IA 21303) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2016-05-02 |