NPI | 1285645705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: LA MD.15750R) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: LA 15750R) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2010-03-08 |