| NPI | 1992157408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0024813) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD487140) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2025-09-04 |