| NPI | 1922176718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL TRN10127) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME 111121) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-08-09 |