| NPI | 1679532246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 41435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 70126) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-05-03 |