| NPI | 1376864215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO3123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A12724) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2022-11-03 |