NPI | 1578944427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IN 02006048B) |
Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: MI 5101021684) |
Enumeration Date | 2015-06-17 |
Last Update Date | 2022-08-03 |