| NPI | 1275655573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 42721) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 42721) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-02-15 |