| NPI | 1699900480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX N2693) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX N2693) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2021-11-29 |