| NPI | 1992933352 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301093747) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301093747) | 
| Enumeration Date | 2009-06-24 | 
| Last Update Date | 2017-08-08 |