| NPI | 1518617828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32520) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2023-07-14 |