NPI | 1205413127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71930) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31622) |
Enumeration Date | 2021-03-26 |
Last Update Date | 2022-08-19 |