| NPI | 1821404732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 59554) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 59554) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2021-09-07 |