| NPI | 1861727455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35.134767) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A114472) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2022-01-25 |