| NPI | 1770622763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 13228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2005-0723) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-06-20 |