| NPI | 1215350780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A133072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C10011034) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2016-08-18 |