| NPI | 1265973481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 330626) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 330626) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-08-26 |