| NPI | 1841566023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO2579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102203793) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2024-06-10 |