| NPI | 1972866002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD61047841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251407) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2021-03-12 |