NPI | 1629207352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD458265) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 125056875) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2016-07-29 |