| NPI | 1356835334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 65951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29226) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2020-08-27 |