| NPI | 1932172442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2015-01778) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD066225L) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-08-17 |