| NPI | 1740596493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 67311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096847) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2021-11-30 |