| NPI | 1437726601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33341) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-08-04 |