| NPI | 1972863926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: ME MD24705) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-251382) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-07-29 |