| NPI | 1114305927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 66530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-05240) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-05-15 |