| NPI | 1962720425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 295045-1) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 295045-1) |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2019-08-13 |