| NPI | 1750910584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 69652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30879) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2021-08-30 |