| NPI | 1740443159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 53455) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R1587) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 104916) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2011-10-14 |