| NPI | 1558655027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO2191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO2769) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2023-08-18 |