| NPI | 1053756593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY 55777) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: KY TP240) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH TBD) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2021-09-21 |