| NPI | 1073603031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10007078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0060425) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2017-09-05 |