| NPI | 1053631960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A142473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02011) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2016-05-24 |