| NPI | 1265181127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33298) |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2024-08-27 |