| NPI | 1902888241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2020012043) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 03102) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 48571) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2024-01-30 |