| NPI | 1275578452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 54093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437120) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2014-05-22 |