| NPI | 1104089879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0012376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT189867) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2017-11-02 |