| NPI | 1750378253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CT 036313) |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CT 036313) |
| 208600000X Surgery (Licence: CT 036313) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2011-03-22 |