| NPI | 1528081395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 50402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081611) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-01-18 |