| NPI | 1982224663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 82259) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 82259) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2026-08-10 |