| NPI | 1740677863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 333200) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL OS18832) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-11-19 |