| NPI | 1851685523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 64448) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A115283) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35.133950) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301109165) | |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2022-02-18 |