| NPI | 1376800540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.146567) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD461066) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63259) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2018-12-21 |