| NPI | 1982915492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 63637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 40685) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2018-06-20 |