| NPI | 1053419192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 54684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 54684) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-11-07 |