| NPI | 1710197850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 64706) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD051348L) |
| 208600000X Surgery (Licence: PA MD051348L) | |
| 208600000X Surgery (Licence: CT 64706) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CT 64706) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD-051348-L) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD-051348-L) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-17 |