| NPI | 1548889132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 81884-20) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2023-09-27 |