| NPI | 1689093395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ID M-15691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60683655) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2022-05-18 |