NPI | 1699086322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: SC 40916) |
Additional Taxonomies | 208600000X Surgery (Licence: SC 40916) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2019-11-13 |