| NPI | 1629393004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 52967) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 52967) |
| 208600000X Surgery (Licence: IL 125-058007) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2024-03-08 |