NPI | 1568682490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.120367) |
Additional Taxonomies | 208600000X Surgery (Licence: CA a88994) |
2086S0129X Surgery, Vascular Surgery (Licence: FL me107137) | |
2086S0129X Surgery, Vascular Surgery (Licence: OH 35.120367) | |
Enumeration Date | 2007-04-25 |
Last Update Date | 2021-11-04 |