| NPI | 1679692578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A60436) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD202766) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.143714) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301081409) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-02-03 |