NPI | 1205415833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71926) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31708) |
Enumeration Date | 2021-04-02 |
Last Update Date | 2022-08-16 |