NPI | 1588781926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NE 1369) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036-114348) |
2086S0129X Surgery Vascular Surgery (Licence: CA 20A10488) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2016-05-20 |