| NPI | 1821440082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 58933) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: AL 44455) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2016-0506) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-08-30 |