| NPI | 1598343154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 72212) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 72212) |
| 207Q00000X Family Medicine (Licence: MN 31838) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-06-18 |