| NPI | 1588775902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 76110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H0059653) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-05-30 |