| NPI | 1386331932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33462) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-08-28 |