NPI | 1205286283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MT211102) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OR MD222405) |
Enumeration Date | 2016-06-21 |
Last Update Date | 2024-10-28 |