| NPI | 1851682702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME 109984) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN 10409) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2014-09-30 |