| NPI | 1558857599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T8196) |
| Additional Taxonomies | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist (Licence: TX T8196) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-12-21 |