| NPI | 1104885268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK 2344) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS016333) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2022-12-29 |