| NPI | 1528360203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 34010358) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA OS017908) |
| 207R00000X Internal Medicine (Licence: OH 58.003733) | |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2017-12-12 |