| NPI | 1750574091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WA MD60578934) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX P1681) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2015-11-04 |