| NPI | 1972508505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 30681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0030681) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2021-10-20 |