| NPI | 1043414543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 52515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 60879-20) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2015-08-27 |