| NPI | 1760897631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT206142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT206142) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2018-07-01 |