| NPI | 1710957931 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0129X  (Licence: MN 44738)  | 
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 44738)  | 
| Enumeration Date | 2006-01-23 | 
| Last Update Date | 2020-08-14 |