| NPI | 1720249121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NJ 25MA10852100) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: DC MD039857) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2020-08-05 |