| NPI | 1871974428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OK 42844) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TN 64587) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-04-25 |