| NPI | 1639266166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101273920) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036-107370) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-04-28 |