| NPI | 1700142312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 59997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 108458) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-05-13 |