| NPI | 1235573668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 101278872) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 64464) |
| 208600000X Surgery (Licence: WI 63755) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2025-08-15 |