| NPI | 1679988604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX S6055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T - 2852) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2020-07-09 |