| NPI | 1700580958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33391) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-08-01 |