| 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 |