NPI | 1528594660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D90881) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 430112301) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2021-08-04 |