NPI | 1780940031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA 20A19229) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036.150004) |
208600000X Surgery (Licence: WI 61732-21) | |
Enumeration Date | 2012-04-11 |
Last Update Date | 2022-03-08 |