| NPI | 1508177338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 55846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 64154) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-03-15 |