| NPI | 1457614729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND PT14735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012018498) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2022-07-21 |