| NPI | 1396364873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74934) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101277938) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2023-10-23 |