| NPI | 1982967840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 67190) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 6719020) |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2025-01-14 |