NPI | 1134242258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MD D92768) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 231438) |
2086S0129X Surgery, Vascular Surgery (Licence: NH LT-3858) | |
2086S0129X Surgery, Vascular Surgery (Licence: NH 18326) | |
2086S0129X Surgery, Vascular Surgery (Licence: OH 35120023) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2021-10-26 |