| NPI | 1093702557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 26065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200401513) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2024-09-03 |