| NPI | 1639107279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NY 219058) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 219058) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2014-03-12 |