| NPI | 1205413127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A200921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 71930) |
| 207R00000X Internal Medicine (Licence: MN 31622) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-08-01 |