| NPI | 1083848972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD181590) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 65596-20) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 15777) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2020-03-09 |