| NPI | 1174546790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 08695R) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA MD.08695R) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: LA MD.08695R) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-11-16 |