| NPI | 1235492869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 61921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020025) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2022-07-21 |