| NPI | 1154749927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 63248) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 63248) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2026-02-17 |