| NPI | 1912160219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 52750) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 52702) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2014-05-29 |