| NPI | 1801584776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33400) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-08-07 |