| NPI | 1912134453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A178750) |
| Additional Taxonomies | 208600000X Surgery (Licence: MT MED-PHYS-LIC-104842) |
| 208600000X Surgery (Licence: MA L-240116) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2022-06-30 |