| NPI | 1164710513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 055742) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0011086) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2016-11-01 |