| NPI | 1154521797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 14007) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: MT 14008) |
| 204R00000X Electrodiagnostic Medicine (Licence: NV 14007) | |
| 207R00000X Internal Medicine (Licence: UT 6029520-1205) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 14008) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2020-01-06 |