| NPI | 1104800945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 16855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 27664) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2021-07-28 |