| NPI | 1750355517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 35156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 59305) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2022-01-25 |