| NPI | 1891037628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: TX S2257) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A124039) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2022-12-07 |