| NPI | 1366021263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 81532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-53683) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2026-04-14 |