| NPI | 1124185855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 53716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 40434) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-11-10 |