NPI | 1750378253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CT 036313) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CT 036313) |
208600000X Surgery (Licence: CT 036313) | |
Enumeration Date | 2005-09-30 |
Last Update Date | 2011-03-22 |