| NPI | 1235181025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 47994) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 101831) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-02-01 |