| NPI | 1164059176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30870) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2021-07-21 |