| NPI | 1083046916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 61471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 14233) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2024-01-10 |