| NPI | 1881030658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 65322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 17628) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2019-12-17 |