| NPI | 1962030973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 75949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 4851) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-05-05 |