| NPI | 1700859816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 80238) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 80238) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2016-08-23 |