| NPI | 1063400620 |
|---|---|
| Former Name | THERESA MARIE HERBST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 30434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 30434) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA 30434) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2019-01-18 |