| NPI | 1487920401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101269983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 0939) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2020-06-17 |