NPI | 1578579025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 188618) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 188618) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 188618) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2022-07-21 |