NPI | 1508284324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 282733) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-01580) |
Enumeration Date | 2014-03-29 |
Last Update Date | 2021-06-10 |