| NPI | 1114584067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 73715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151013957) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-06-08 |