| NPI | 1194925032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301507444) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD44673) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2022-10-24 |