| NPI | 1679782395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301081948) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301081948) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-04-26 |