| NPI | 1215566583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30806) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-08-25 |