| NPI | 1679923841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A191563) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX U1310) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-03-25 |