| NPI | 1386025047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 56842) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.141493) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2022-07-11 |