| NPI | 1780894527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 55911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 37932) |
| 207R00000X Internal Medicine (Licence: WI 54557) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-02-06 |