NPI | 1457561789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 301188) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2013032805) |
2086S0129X Surgery, Vascular Surgery (Licence: MO 2013032805) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2021-06-10 |