| NPI | 1013668656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33358) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2024-08-10 |