| NPI | 1114656469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34435) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2025-07-30 |