| NPI | 1952862856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 67745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30028) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-01-16 |