| NPI | 1588666432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 17939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 13598) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-06-06 |