| NPI | 1316921687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 73953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 88772) |
| 207R00000X Internal Medicine (Licence: CO 50835) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2023-06-22 |