| NPI | 1144616376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102205243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0012013) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2019-03-18 |