| NPI | 1457550873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 58615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101241355) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-11-09 |