| NPI | 1699787523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: SC 38867) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NH 11719) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2021-02-18 |