NPI | 1235358086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD476186) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 27165) |
208600000X Surgery (Licence: RI LP00950) | |
2086S0129X Surgery, Vascular Surgery (Licence: NY 27165) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 27165) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2022-01-06 |