| NPI | 1972596674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 46254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101008552) |
| 207R00000X Internal Medicine (Licence: WI 41035021) | |
| 207R00000X Internal Medicine (Licence: IA 3585) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2021-03-11 |