| NPI | 1265130140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 83148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 35310) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2026-07-21 |