| NPI | 1417364779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 68647) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: TN 68647) |
| 208600000X Surgery (Licence: NY 14046) | |
| 208600000X Surgery (Licence: OH 35.142980) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 68647) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2023-09-25 |