| NPI | 1699095646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 67313-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58427) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2022-10-04 |