| NPI | 1265533913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 48714) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-110309) |
| 207R00000X Internal Medicine (Licence: WI 47657-020) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-07-06 |