| NPI | 1699303396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 70111) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30820) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2021-09-07 |