| NPI | 1700969003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: WA MD60036857) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01037832A) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-10-05 |