| NPI | 1912210410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 54489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A112487) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2021-11-30 |