| NPI | 1154773943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S5308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 302429) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2026-08-21 |