| NPI | 1629207352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: PA MD458265) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: IL 125056875) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2016-07-29 |