NPI | 1184822348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: AZ 45344) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 45344) |
207R00000X Internal Medicine (Licence: SC 30177) | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2022-09-30 |