| NPI | 1811907694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 56354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 48732) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-11-17 |