| NPI | 1992292916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80149) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: MN 80149) |
| 207R00000X Internal Medicine (Licence: IL 036161581) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: IL 036161581) | |
| 207R00000X Internal Medicine (Licence: IL 036.161581) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-12-04 |