| NPI | 1689931719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A203296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285079) |
| 208600000X Surgery (Licence: NY 285079) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA12382100) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 285079) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2025-12-22 |