NPI | 1558627893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A172653) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MN 65645) |
Enumeration Date | 2012-04-11 |
Last Update Date | 2024-04-22 |