| NPI | 1083930812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 83452) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2086S0129X Surgery, Vascular Surgery (Licence: GA 83452) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2019-07-16 |