| NPI | 1962479758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MO 2014022411) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2014022411) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2024-04-25 |