| NPI | 1619916616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE c10008318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101289740) |
| 207R00000X Internal Medicine (Licence: PA MD486625) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2026-05-26 |