| NPI | 1467435552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 17770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 28803) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-09-03 |