| NPI | 1952862476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 67696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29989) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-11-03 |