NPI | 1215570866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD217138) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 11619) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 30823) | |
Enumeration Date | 2019-10-25 |
Last Update Date | 2024-01-09 |