| NPI | 1922748425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 74758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32557) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2025-08-20 |