| 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 |