| NPI | 1205274032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 109625) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R9752) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2016-09-01 |