| NPI | 1245592013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 70614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251963) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2022-10-21 |