NPI | 1700907789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: SC 1113) |
Additional Taxonomies | 208600000X Surgery (Licence: PA OT010330) |
208600000X Surgery (Licence: SC 1113) | |
2086S0129X Surgery, Vascular Surgery (Licence: PA OS013873) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2015-11-19 |