| NPI | 1477966885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20a15508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL1014) |
| 207R00000X Internal Medicine (Licence: VA 0102204895) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-12-07 |