| NPI | 1669527479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MA 247902) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 224704) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-11-09 |