| NPI | 1548881915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30730) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-01-19 |