| NPI | 1992119887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME141172) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP03251) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2021-05-25 |