| NPI | 1821581935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO2937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT018508) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-07-27 |