| NPI | 1366401689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 20655) |
| Additional Taxonomies | 208600000X Surgery (Licence: WV 20655) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-11-07 |