| NPI | 1518908862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 16192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME116650) |
| 207R00000X Internal Medicine (Licence: NV 22950) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-04-19 |