| NPI | 1750387874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 52435) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MA 52435) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2008-06-05 |