| NPI | 1881613123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 10327) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 10327) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-02-05 |