| NPI | 1124197140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 48718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 68649) |
| 208000000X Pediatrics (Licence: MN 48718) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2025-05-01 |