| NPI | 1023546496 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 72528) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 009068) | 
| 207R00000X Internal Medicine (Licence: MI 4301501371) | |
| Enumeration Date | 2017-05-31 | 
| Last Update Date | 2022-09-23 |