| NPI | 1811344146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NH R3811) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP03605) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2023-06-13 |