NPI | 1306048442 |
---|---|
Former Name | JENNIFER J. WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301101424) |
Additional Taxonomies | 208600000X Surgery (Licence: RI LP01109) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2021-02-19 |