NPI | 1992119887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA md486613) |
Additional Taxonomies | 208600000X Surgery (Licence: RI LP03251) |
2086S0129X Surgery, Vascular Surgery (Licence: FL ME141172) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2024-11-15 |