| NPI | 1053512186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A122317) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR LL16407) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD60170969) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 52453) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-05-24 |