| NPI | 1568036507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 72003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31760) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2022-08-11 |