| NPI | 1689179509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 65867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 174266) |
| 207R00000X Internal Medicine (Licence: MN 29582) | |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2021-10-25 |