| NPI | 1811902596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 14841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 29855) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-08-15 |