| NPI | 1669850525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO2349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL1082) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2018-06-28 |