| NPI | 1487182168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 67899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116030230) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2020-08-04 |