| NPI | 1124084041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101058035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 21252) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2021-09-14 |