| NPI | 1447609821 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2025030774) | 
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: UT 13289390-1205) | 
| 208600000X Surgery (Licence: IL 125.069016) | |
| Enumeration Date | 2016-06-07 | 
| Last Update Date | 2025-09-17 |