| NPI | 1295005767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0011142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101418) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2014-10-23 |