| NPI | 1003043001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301108951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 31905) |
| 207R00000X Internal Medicine (Licence: MN 57957) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2016-06-16 |