| NPI | 1528279858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 51765) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48419-020) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-03-09 |