| NPI | 1619967825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 16841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 42793) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2023-08-07 |