| NPI | 1871168690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 72030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31588) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2022-08-11 |