| NPI | 1134363880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 55018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN DO0000002231) |
| Enumeration Date | 2009-04-25 |
| Last Update Date | 2022-05-25 |