| NPI | 1073073318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 67875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30248) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2020-08-26 |