NPI | 1265413207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD053932L) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD053932L) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2020-09-30 |