NPI | 1376832824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2018-01155) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 005159) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2018-08-15 |