| NPI | 1790245199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61675943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61675943) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-08-11 |