| NPI | 1386783371 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0129X  (Licence: CT 72618)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: NM 2006-0340)  | 
| 2086S0129X  (Licence: NH NH17929)  | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT 34011)  | |
| Enumeration Date | 2007-02-06 | 
| Last Update Date | 2022-10-10 |