| NPI | 1568710911 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101277828)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452808)  | 
| Enumeration Date | 2012-08-16 | 
| Last Update Date | 2025-04-25 |