| NPI | 1689964652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 59022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 59890) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2020-11-09 |