| NPI | 1063420503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK 8266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 42-00010542) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-10-01 |