| NPI | 1447053582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 83099) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 35213) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2026-07-23 |