| NPI | 1952862294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 72347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID MRW-1797) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-05-25 |