| NPI | 1114306578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR.0070059) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 210955) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2023-01-18 |