NPI | 1033523501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036.166578) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT207459) |
208600000X Surgery (Licence: IL 036.166578) | |
Enumeration Date | 2014-06-12 |
Last Update Date | 2024-09-24 |