| NPI | 1255767273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2022-00159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 57927) |
| 207R00000X Internal Medicine (Licence: SD 10667) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2022-06-28 |