| NPI | 1770270126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77431) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33368) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2024-07-25 |