| NPI | 1962856708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 66601) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 66601) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-08-25 |