| NPI | 1497132492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 63425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 71773) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-09-11 |