NPI | 1225491814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MN 73676) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101265061) |
208600000X Surgery (Licence: MN 73676) | |
Enumeration Date | 2016-03-31 |
Last Update Date | 2023-10-17 |