| NPI | 1518466614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 25862) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22662) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2024-08-19 |