| NPI | 1689917064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 66403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 6538) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-07-29 |