| NPI | 1558583948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 279773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 22185) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL TRN18501) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-06-14 |