| NPI | 1588862270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 262222) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PA MT191190) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2011-10-12 |