| NPI | 1346227287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 30291) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MN 30291) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2021-03-09 |