| NPI | 1265922587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO2888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL1343) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2023-08-01 |