| NPI | 1386922003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301104501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104501) |
| 207R00000X Internal Medicine (Licence: CT 390200200000X) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2018-03-17 |