| NPI | 1770665796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: SC 28011) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL28011) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-10-20 |