| NPI | 1811140627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 256677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N0864) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2018-06-05 |