| NPI | 1518215128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MA 1015861) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD P28025) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 67209) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-01-16 |