| NPI | 1710030531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD429163) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25mb08777000) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2012-10-03 |