| NPI | 1861779571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 015329) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2023-10-18 |