| NPI | 1336469949 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 244324) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 52211) | 
| Enumeration Date | 2010-06-04 | 
| Last Update Date | 2024-11-04 |