| NPI | 1760860357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: UT 12250467-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 135994) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2021-10-25 |