| NPI | 1982866406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OR MD187061) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35.096280) |
| 208600000X Surgery (Licence: OH 35.096280) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-12-20 |