NPI | 1568857852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME154819) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.132016) |
Enumeration Date | 2015-04-02 |
Last Update Date | 2024-10-22 |