| NPI | 1902877236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA A60257) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A60257) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2019-11-06 |