| NPI | 1992022735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WA MD60844358) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036.139358) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2021-05-24 |