| NPI | 1568994804 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 10970478-1205) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10970478-1205) | 
| Enumeration Date | 2017-03-28 | 
| Last Update Date | 2024-03-04 |