NPI | 1588826176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WA MD60419027) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA08116900) |
2086S0129X Surgery, Vascular Surgery (Licence: CA A82191) | |
Enumeration Date | 2008-06-26 |
Last Update Date | 2016-03-21 |