NPI | 1992292114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 05016) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 05016) |
Enumeration Date | 2018-04-13 |
Last Update Date | 2025-08-12 |