| NPI | 1326401118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 68104) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 68104) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX AP145933) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-10-23 |