| NPI | 1457811697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A180991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30254) |
| 207R00000X Internal Medicine (Licence: MN 68144) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-04-18 |