| NPI | 1407052723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.099002) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.099002) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2014-06-30 |