| NPI | 1659580645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IA 36254) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA 36254) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-11-03 |