NPI | 1255690871 |
---|---|
Former Name | JACQUELINE A HORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 59851) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AR E-12968) |
Enumeration Date | 2012-05-16 |
Last Update Date | 2023-07-12 |