| NPI | 1871791301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036169048) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: KY 45235) |
| 2086S0129X Surgery, Vascular Surgery (Licence: CO 53601) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: ND LT16708) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: NC 2019-01330) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2024-05-07 |