NPI | 1982772703 |
---|---|
Former Name | JENNIFER ANN SPITLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MS 22462) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2006005294) |
208600000X Surgery (Licence: DC MD036941) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2024-10-23 |