| NPI | 1104576966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0029359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0106511) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2026-04-10 |