| NPI | 1154771350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301514678) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2016018411) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2025-12-03 |