| NPI | 1487407524 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80395) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34277) | 
| Enumeration Date | 2024-04-09 | 
| Last Update Date | 2025-07-30 |