| NPI | 1982391553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 78020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33405) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-09-10 |