| NPI | 1710415740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WI 81010) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IA R-10954) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2023-08-07 |