| NPI | 1255311825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 44177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 44177-020) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-12-21 |