NPI | 1730605221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX AP134686) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134686) |
Enumeration Date | 2017-08-16 |
Last Update Date | 2022-03-29 |