| NPI | 1891959680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD443251) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT188395) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2014-09-03 |