NPI | 1952563728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101266205) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35121246) |
2086S0129X Surgery, Vascular Surgery (Licence: OH 35.121246) | |
Enumeration Date | 2008-07-01 |
Last Update Date | 2020-10-09 |