| NPI | 1083877203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 54192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 54091) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2023-08-22 |