| NPI | 1316968555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 62410) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 93-357) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2022-07-21 |