| NPI | 1881960169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX T1768) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.133675) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2022-07-11 |