| NPI | 1811144025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A127676) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CO DR.0072761) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2024-03-13 |