| NPI | 1396904470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 52287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 104524) |
| 207R00000X Internal Medicine (Licence: CA A102709) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2021-03-11 |