| NPI | 1265010060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 83421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.47878) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2026-08-11 |