NPI | 1902245053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 312236) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ R74067) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA10506100) | |
Enumeration Date | 2013-06-21 |
Last Update Date | 2021-08-24 |