| NPI | 1801235791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OR 188080) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125063050) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2023-02-10 |