| NPI | 1700994985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX L4652) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX L4652) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2019-03-05 |