| NPI | 1154590735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 37910) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35047665G) |
| 208600000X Surgery (Licence: OH 35047665G) | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |