| NPI | 1497250179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 65879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29174) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2021-09-02 |