| NPI | 1841284676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA07536300) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 190074) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2024-07-11 |