| NPI | 1679865422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101252680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101252680) |
| 208D00000X General Practice (Licence: VA 0101252680) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2022-02-01 |