NPI | 1003103367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 302416) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248454) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2020-03-11 |