| NPI | 1760124002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74989) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32565) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2023-08-08 |