| NPI | 1871887117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA OS016404) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OT014239) |
| 2086S0129X Surgery, Vascular Surgery (Licence: NY 297979) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2024-01-09 |