| NPI | 1255693529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NC 2023-00117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA #OT014681) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX S2456) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-03-20 |