NPI | 1972096147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA R-12152) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10063402) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2021-06-18 |