| NPI | 1811274772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 269887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0027998) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2026-01-16 |