NPI | 1982866133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME116752) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME116752) |
2086S0129X Surgery, Vascular Surgery (Licence: OH 35.126663) | |
Enumeration Date | 2008-06-30 |
Last Update Date | 2018-08-16 |