| NPI | 1386804052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101252624) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 263636) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0101252624) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2013-04-15 |