| NPI | 1780327825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32470) |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2025-08-22 |