| NPI | 1336434737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 9223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55227) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2019-10-31 |