| NPI | 1811048697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N1319) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 23208) |
| 207R00000X Internal Medicine (Licence: WV 23208) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-10-13 |