| NPI | 1780664631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 53336) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND 9430) |
| 207K00000X Allergy & Immunology (Licence: MN 53336) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2011-04-28 |