NPI | 1639325681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036121509) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036121509) |
2086S0129X Surgery, Vascular Surgery (Licence: CO 0054184) | |
Enumeration Date | 2008-08-11 |
Last Update Date | 2018-07-17 |