| NPI | 1649264599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 36785) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NC 36785) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2015-03-30 |