NPI | 1023217908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: SC MD32487) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME112123) |
2086S0129X Surgery, Vascular Surgery (Licence: SC 32487) | |
2086S0129X Surgery, Vascular Surgery (Licence: AL MD32127) | |
Enumeration Date | 2007-07-12 |
Last Update Date | 2024-06-07 |