| NPI | 1902003882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 50794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38846) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-13 |