| NPI | 1780065292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A177501) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-263483) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-08-30 |