| NPI | 1508508664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0028535) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0104251) |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2025-10-06 |