| NPI | 1629156476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME112830) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA G76555) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-06-05 |