NPI | 1902877236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA A60257) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A60257) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2019-11-06 |