| NPI | 1124865605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34381) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2025-08-07 |