| NPI | 1255597696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 54164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091558) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2018-01-22 |