| NPI | 1184319832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33390) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-08-02 |