| NPI | 1427579853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 64190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 28431) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2018-07-16 |