| NPI | 1740500107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MA 253680) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 253680) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2020-11-10 |