| NPI | 1538671383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO2887) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NV DO2887) |
| 207R00000X Internal Medicine (Licence: NV SL1424) | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2021-12-20 |