| NPI | 1194766774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 57926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0428724) |
| 207R00000X Internal Medicine (Licence: IA 36874) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-04-14 |