| NPI | 1184982100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2021036094) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY R2967) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2021-10-13 |