| NPI | 1730130337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO 44538) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NC 200400694) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-02-10 |