| NPI | 1790906410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD26224) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OR MD26224) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-10 |