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 | 2024-12-10 |