| NPI | 1114458213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: TX U7994) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0025166) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-01-11 |