| NPI | 1972200772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33488) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-08-14 |