| NPI | 1366493439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 60515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 45697) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2015-06-02 |