| NPI | 1881806529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WI 55090) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 57-009003) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2015-05-07 |