| NPI | 1831122332 |
|---|---|
| Former Name | CARMEN MARIA WAGNER-MOGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 2003-0479) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C206507) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2026-05-26 |