| NPI | 1528501012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO2206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3913) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2022-11-01 |