| NPI | 1982276283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL PA9114005) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9114005) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-08-02 |