NPI | 1265552608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD450579) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD450579) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2015-07-10 |