| NPI | 1710243894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: NY 312346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 312346) |
| 208600000X Surgery (Licence: NH 16728) | |
| 2086S0129X (Licence: NY 312346-01) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NH 16728) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2023-07-07 |