| NPI | 1407295256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60959220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-062821) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2019-11-12 |