| NPI | 1871521898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX P5563) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101237369) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2021-11-17 |