NPI | 1093965329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD430967) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 259432) |
208600000X Surgery (Licence: NY 259432) | |
Enumeration Date | 2008-09-23 |
Last Update Date | 2019-12-26 |