| NPI | 1356581524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 61081) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7098) |
| 207R00000X Internal Medicine (Licence: WI 65671-20) | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2016-09-12 |