| NPI | 1780965228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 280143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280143) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 64113) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2022-02-10 |