| 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 |