NPI | 1285997338 |
---|---|
Former Name | DANIELLE M HERDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301111885) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: ID MC-2572) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2025-02-06 |