| NPI | 1649684622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 88441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R3619) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-09-15 |