NPI | 1326210071 |
---|---|
Former Name | LAYLA MARIE CORRAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 42608) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 80921) |
208600000X Surgery (Licence: AZ 42608) | |
Enumeration Date | 2008-04-01 |
Last Update Date | 2022-12-02 |