| NPI | 1790473387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0029552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0106959) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2026-07-22 |