| NPI | 1104815463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 9117) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 9117) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-09-11 |