| NPI | 1962559039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A143901) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT188135) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-05-16 |