| NPI | 1306818497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 042616) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 042616) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD425541) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2018-11-14 |