| 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 |