| NPI | 1891909628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 230028) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 230028) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MA 230028) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-09-18 |