| NPI | 1821401811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MA 270591) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 270591) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-12-08 |