| NPI | 1861912529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MO 2022038986) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2022038986) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2024-04-25 |