NPI | 1962152140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74592) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32467) |
Enumeration Date | 2022-03-28 |
Last Update Date | 2023-07-11 |