| NPI | 1639494750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO DR.0057535) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0057535) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2019-09-30 |