| NPI | 1053560938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 46302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN12900) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME MD20196) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2016-10-31 |