NPI | 1063040087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69658) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30872) |
Enumeration Date | 2020-03-27 |
Last Update Date | 2023-12-11 |