| NPI | 1619387412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA OS017768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015649) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2020-07-10 |