| NPI | 1740347814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0003587) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0003587) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2022-04-29 |