| NPI | 1922257252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MB08446100) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 256266) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2013-12-29 |