| NPI | 1962027508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA OT020061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT020061) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-06-27 |