| NPI | 1629598834 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 76030) | 
| Additional Taxonomies | 208600000X Surgery (Licence: OH 57.030086) | 
| Enumeration Date | 2017-06-20 | 
| Last Update Date | 2024-10-07 |