| NPI | 1740474667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35.088022) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA 421396) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2012-10-29 |