NPI | 1073951026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 4274) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: KY 04526) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2022-06-17 |