| NPI | 1255795506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 81990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 296632) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2026-05-29 |