| NPI | 1649830985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 67823) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30002) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2020-08-24 |