| NPI | 1033952270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX PA18400) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2025-02-12 |