| NPI | 1841726932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 5101026829) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO TL.000651) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2022-05-31 |