| NPI | 1104960780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60005657) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60005657) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2024-01-31 |