| NPI | 1548754732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351043665) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-01-29 |