| NPI | 1396918207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 52840) |
| Additional Taxonomies | 174400000X Specialist (Licence: 207R00000X) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2020-11-10 |