| NPI | 1518212828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT202156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202156) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2016-05-19 |