NPI | 1235652652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA12289900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.030529) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2024-08-14 |