| NPI | 1700273463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MI 4301507553) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301507553) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2023-09-19 |