| NPI | 1912401910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO3279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 74588) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-08-07 |