NPI | 1699200378 |
---|---|
Former Name | ANDREA SHERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WI 6935-851) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-05-01 |
Last Update Date | 2017-08-26 |