| NPI | 1699062208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MS 24720) |
| Additional Taxonomies | 208600000X Surgery (Licence: MS T-2426) |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2019-10-07 |