| NPI | 1760915862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: WI 21950) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: MN 65929) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 21950) | |
| 2086S0129X Surgery Vascular Surgery (Licence: MN 28189) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-07-22 |