NPI | 1003360298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 60350) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 60350) |
Enumeration Date | 2016-08-05 |
Last Update Date | 2018-03-12 |