| NPI | 1073703567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN A93603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A93603) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2021-03-11 |