NPI | 1073919627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61253191) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.138369) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT212688) | |
Enumeration Date | 2014-11-10 |
Last Update Date | 2022-08-25 |