| NPI | 1255403416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IN 01065663A) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 4945) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-02-01 |