NPI | 1881878148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MA 233183) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 233183) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2020-11-09 |