| NPI | 1235520966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 70860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 741143-20) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2022-11-18 |