| NPI | 1114588209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 22218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV LL3376) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-05-05 |