| NPI | 1114692555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR 206406) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA206406) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-11-17 |