NPI | 1356584973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME163560) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OR 154507) |
Enumeration Date | 2009-04-13 |
Last Update Date | 2023-08-29 |