| NPI | 1760454615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD150847) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD417346) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR 150847) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2017-02-01 |