NPI | 1306157078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: OH 35.140245) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ R72234) |
208600000X Surgery (Licence: FL ME129595) | |
2086S0129X Surgery Vascular Surgery (Licence: OR MD224438) | |
2086S0129X Surgery Vascular Surgery (Licence: AZ 50065) | |
Enumeration Date | 2010-06-28 |
Last Update Date | 2025-04-03 |