| NPI | 1750645750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 59564) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125061688) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2024-03-07 |