| NPI | 1891185724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX S3005) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MN 65646) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2021-12-10 |