| NPI | 1366736258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 72463) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 282318) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098711) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2022-10-04 |