| NPI | 1801258645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101279068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101279068) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101279068) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 267526) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-07-26 |