| NPI | 1245492123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 04-49086) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD61136960) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ND 22835) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2025-09-13 |