| NPI | 1730317900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2023-03037) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0102204626) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2023-11-21 |