| NPI | 1508048372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 27499) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2086S0129X Surgery Vascular Surgery (Licence: IL 036.127320) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2022-04-08 |