| NPI | 1417913146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 273134) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 1474-TEP) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA 025209 MD00037701) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD430888) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2022-07-21 |