| NPI | 1962078220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: ND RL17413) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IA MD-57119) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2026-05-30 |