| NPI | 1154367662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 50938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN XXXXXX) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-03-18 |