NPI | 1548789407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 202K00000X Phlebology (Licence: CA H8N7F6J6) |
Additional Taxonomies | 202K00000X Phlebology (Licence: CA W9D2A7M8) |
Enumeration Date | 2017-09-12 |
Last Update Date | 2017-09-12 |