| NPI | 1033784152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 78813) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 78813) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2026-03-25 |