| NPI | 1447710744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 76366) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-143633) |
| 208000000X Pediatrics (Licence: MN 76366) | |
| 208000000X Pediatrics (Licence: OH 35-143633) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-08-09 |