| NPI | 1871976605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX U2484) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 7475) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2023-04-06 |