| NPI | 1265622302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 231523) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 231523) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N4508) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI 4301095573) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2019-04-24 |