NPI | 1508433392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH APP-000936247) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-12158) |
Enumeration Date | 2021-06-09 |
Last Update Date | 2025-06-05 |