| NPI | 1508290776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX V5668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT203564) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35.135398) | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2025-08-19 |