| NPI | 1699466011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0106871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0029502) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2026-06-18 |