| NPI | 1952563728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101266205) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35121246) |
| 2086S0129X Surgery, Vascular Surgery (Licence: OH 35.121246) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2020-10-09 |