| NPI | 1912115411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: LA MD.205397) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA md205397) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-12-11 |