| NPI | 1225390073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 61117) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 109131) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.123361) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2020-08-18 |