| NPI | 1518379429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 16957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104807) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-12-09 |