NPI | 1164082475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0027529) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0101972) |
207R00000X Internal Medicine (Licence: PA MD486833) | |
Enumeration Date | 2019-06-18 |
Last Update Date | 2025-01-13 |