NPI | 1548640386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036143888) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125066659) |
Enumeration Date | 2015-06-07 |
Last Update Date | 2024-09-05 |