NPI | 1619505955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 70347) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30747) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2024-07-09 |