NPI | 1912115411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: LA MD.205397) |
Additional Taxonomies | 208600000X Surgery (Licence: LA md205397) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2023-12-11 |