| NPI | 1801020771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2015-01663) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101017969) |
| 208600000X Surgery (Licence: NC 2015-01663) | |
| 208600000X Surgery (Licence: AZ 006438) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2022-07-22 |