| NPI | 1124419916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101277163) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19350) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 19350) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 19350) | |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2022-12-05 |