| NPI | 1760749667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 291621) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60759382) |
| 208600000X Surgery (Licence: RI MD19458) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2024-11-14 |