NPI | 1518385657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD459598) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD459598) |
Enumeration Date | 2014-04-05 |
Last Update Date | 2024-07-03 |