| NPI | 1962797753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 63580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9240) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2018-10-15 |