| NPI | 1003005836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 59171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 26295) |
| 207R00000X Internal Medicine (Licence: OH 35.093294) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2020-08-18 |