| NPI | 1255536090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60595416) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A107107) |
| 208600000X Surgery (Licence: WA MD60595416) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301103957) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: PA MD455337) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: WA MD60595416) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2022-09-02 |