| NPI | 1124306824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 69449) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 11016272A) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2021-06-18 |