NPI | 1154680098 |
---|---|
Other Name | KENDAL MARIE DEDINSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101269539) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-05-13 |
Last Update Date | 2021-10-31 |