| NPI | 1902899370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 43145) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 43145) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2010-11-22 |