NPI | 1811041080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C1-0011067) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 061253) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0073893) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2021-05-18 |