NPI | 1891175733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036.153279) |
Additional Taxonomies | 208600000X Surgery (Licence: KS 94-08615) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2022-07-19 |