| NPI | 1841305638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WA 60024750) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML20008433) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-06-01 |