| NPI | 1457303190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 38546) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 038546) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-08-12 |