| NPI | 1356514657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 61785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53888) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2020-06-25 |