| NPI | 1760823041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 73913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 73913) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2019-02790) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2024-07-02 |