| NPI | 1902061716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A135920) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036125829) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2015-08-03 |