NPI | 1003988312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60353787) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD60353787) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2021-03-01 |