| NPI | 1801014493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD435046) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 213675) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2018-04-17 |