| NPI | 1902928799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2018-00611) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A82292) |
| 208600000X Surgery (Licence: NC 2018-00611) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: OH 094030) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-02-08 |