| NPI | 1821231168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 53707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 55199-020) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2021-06-09 |