NPI | 1083800585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 273202) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 248717-1) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A69615) | |
Enumeration Date | 2007-09-18 |
Last Update Date | 2020-11-02 |