| NPI | 1750576245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 12435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 42385) |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2017-05-09 |