| NPI | 1225617020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A201247) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 76555) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-06-30 |