| NPI | 1093980013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 58542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0070657) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2014-12-01 |