| NPI | 1871083360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO2872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL1366) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2021-07-13 |