| NPI | 1366013609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31714) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2022-08-19 |