| NPI | 1770710105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2020036060) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: MO 2020036060) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2021-03-22 |