| NPI | 1942628078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WA MD61499807) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MT MED-PHYS-LIC-104846) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2025-02-19 |