| NPI | 1861853145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0110-007735) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-06265) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2021-10-20 |