| NPI | 1912348293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 57.247567) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 135919) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2021-07-12 |