NPI | 1295048502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 67486) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB08792600) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 269430) | |
Enumeration Date | 2010-07-15 |
Last Update Date | 2021-06-15 |